Provider Demographics
NPI:1518706852
Name:ARCHER, CONOR (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:CONOR
Middle Name:
Last Name:ARCHER
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 LAKEAIRE CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-1929
Mailing Address - Country:US
Mailing Address - Phone:516-712-9966
Mailing Address - Fax:
Practice Address - Street 1:7621 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-3504
Practice Address - Country:US
Practice Address - Phone:954-341-3338
Practice Address - Fax:954-341-3389
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS66022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist